Collector, Management Services Organization / Centralized Billing Office - CBO - Full Time 8 Hour Days (Non-Exempt) (Non-Union)

Collector Appeal Specialist

The Collector Appeal Specialist is responsible for accurately processing inpatient and out-patient claims to third party payers and private pays, following all mandated billing guidelines. Responsible for ensuring timely filing and guidelines are met; provided quality control checks on paper and electronic claims; process tracers, denial and related correspondence; initiate appeals; compose and submit appeal letters specific challengeable denial issues consistent with the most update American Medical Association Current Procedural Terminology. Must demonstrate a positive demeanor, good verbal and written skills, and must be professional in both appearance and approach. Will maintain consistent productivity standards as appropriate for their unit as well as maintain an average of 90% (score 9.0) or better on Quality Reviews. The Professional Billing Refund Collector is responsible for accurately reviewing credit balances and processing adjustments, transfers and refunds as needed. Helps in billing operations by providing support and research of misapplied payments. Works as a member of the billing team to provide smooth operational flow resulting in optimum customer (internal / external) satisfaction and effective / efficient processes.

Essential Duties :

• Technical Duties
• Follow Up Collections
• Meets Production and Quality Review Standards set by Team Supervisor and Billing Manager
• Contacts government and third-party payors and / or patients to facilitate timely payment of past due charges; arranges alternative settlement plans as needed
• Identifies problem delinquencies and recommends appropriate course of action, such as referral to outside collection agency, legal action or write off
• Prepares, analyzes and maintains records and reports documenting the status and amount of past due accounts and the timing and nature of their disposition
• Attends seminars and professional association meetings; reads pertinent literature to maintain current knowledge of collection policies and procedures and related legislation
• Works off various ad hoc reports for special projects, as needed and directed
• Reviews payment transactions and researches payment correction requests. Processes adjustments, payment corrections and transfers where applicable
• Updates billing system, GE Centricity Business (GECB) with clear, detailed, concise ETM Task notes regarding activity related to resolution of credit balances, i.e. payment transfers, adjustments, and / or refund requests, etc
• Accesses and works off credit balance views in ETM in GECB (billing system) daily
• Applies knowledge of GECB, Cerner, MARS Refunds App and daily ETM views to review and resolve credit balances
• Stays informed of new developments and technologies by reading journals and other pertinent publications, maintaining contact with vendors, and participating in professional organizations, meetings and seminars
• Miscellaneous Assists in special projects or other duties as assigned

Required Qualifications :

Preferred Qualifications :

Required Licenses / Certifications :

The hourly rate range for this position is $25.00 - $39.69. When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education / training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.

USC is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, or any other characteristic protected by law or USC policy.